JEFF GREEN MD PC (NPI# 1073984019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073984019 |
| Entity Type | Organization |
| Organization Name | JEFF GREEN MD PC |
| Practice Address |
1800 W Koch St Unit 5 Bozeman MT 59715-1301 |
| Practice Telephone | 4065829306 |
| Practice Fax Number | 4062051459 |
| Mailing Telephone | 4065829306 |
| Mailing Fax Number | 4062051459 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | DR. JEFF GREEN (OWNER) |
| Authorized Official Telephone | 4065829306 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
1800 W KOCH ST UNIT 5 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659310324 | Joan Marie Green | Psychiatry & Neurology | 1940 W Dickerson St Ste 207, Suite 207, Bozeman, MT 59718-6851 | 2006-06-06 |
| 1750759791 | Bozeman Psychiatry PC | Psychiatry & Neurology | 1940 W Dickerson St, Suite 207, Bozeman, MT 59718-6851 | 2015-09-08 |
| 1770522831 | Jeffrey Scott Green | Psychiatry & Neurology | 1871 S 22nd Ave Ste 3, Bozeman, MT 59718-7054 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164504908 | Victor C. Houser IIi | Psychiatry & Neurology | 355 1st Avenue West N, Kalispell, MT 59901-3906 | 2006-10-20 |
| 1144310020 | Michelle C Mccall | Psychiatry & Neurology | 1225 Birch St, Helena, MT 59601-0617 | 2006-10-13 |
| 1952687089 | Intermountain Opmhc | Psychiatry & Neurology | 3240 Dredge Dr., Helena, MT 59602-0548 | 2011-11-03 |
| 1194050393 | Montana Psychiatry, Pllc | Psychiatry & Neurology | 3737 Grand Ave, Suite 6, Billings, MT 59102-6258 | 2009-10-06 |
| 1982736641 | James Hewett Killpack | Psychiatry & Neurology | 55 Basin Creek Rd, Acadia Montana, Butte, MT 59701-9704 | 2007-03-09 |
| 1427197466 | Thomas Ray Hoffman | Psychiatry & Neurology | 227 E Mercury St, Butte, MT 59701-1804 | 2007-02-06 |
| 1689732059 | Celeste G. Pfister | Psychiatry & Neurology | 2755 Colonial Dr, Helena, MT 59601-4926 | 2006-12-05 |
| 1104990373 | Yellowstone Boys and Girls Ranch | Psychiatry & Neurology | 1732 S 72nd St W, Billings, MT 59106-3500 | 2006-11-20 |
| 1831261189 | Kary L Aytes | Psychiatry & Neurology | 900 N Orange St, Suite 304, Missoula, MT 59802-2998 | 2006-11-14 |
| 1295817039 | Victor C. Houser M.d.p.c. | Psychiatry & Neurology | 355 1st Avenue West N, Kalispell, MT 59901-3906 | 2006-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.